﻿<%@ Page Title="" Language="C#" MasterPageFile="~/common/AfterLogin.master" AutoEventWireup="true" CodeFile="insurance_publicHospitalClaim.aspx.cs" Inherits="product_insurance_user_insurance_publicHospitalClaim" %>


<asp:Content ID="Content3" ContentPlaceHolderID="leftMenu" Runat="Server">
  <ul>
        
                     <li>
                   <a href="<%= Page.ResolveUrl("~/product/insurance/user/insurance_statement.aspx")%>">Plan Statement</a></li>
                   <li><a href="<%= Page.ResolveUrl("~/product/insurance/user/insurance_certificate.aspx")%>">Plan Certificate</a></li>
                   <li><a href="<%= Page.ResolveUrl("~/product/insurance/user/insurance_terminate.aspx")%>">Terminate A Plan</a></li>
                   <li><a href="<%= Page.ResolveUrl("~/product/insurance/user/insurance_claim.aspx")%>">Claim Instructions</a></li>
                    <li><a href="<%= Page.ResolveUrl("~/product/insurance/insurance_home.aspx")%>">Plan Details</a></li>
                   <li><a href="<%= Page.ResolveUrl("~/product/insurance/user/insurance_apply_hospital.aspx")%>">Apply For Hospitalisation Plan</a></li>
                   <li><a href="<%= Page.ResolveUrl("~/product/insurance/user/insurance_apply_accident.aspx")%>">Apply For Personal Accident Plan</a></li>
    </ul>

</asp:Content>
<asp:Content ID="Content4" ContentPlaceHolderID="content" Runat="Server">
    <p>
        <br />
     <h1>For admission to Government / Restructured Hospitals</h1><br /> (Alexandra, Changi, KK Women’s
                                                & Children, National Univerisity, Singapore General Hospital and Tan Tock Seng),
                                                this includes:<br />
                                            <br />
                                                1. Duly Completed Reinbursement Claim Form.<br />
                                            <br />
                                                                <asp:FileUpload ID="fu_h1" runat="server" />
                                                                <br />
                                            <br />
                                                2. A copy of the Inpatient Discharge Summary given to patient upon discharge.<br />
                                            <br />
                                                                <asp:FileUpload ID="fu_h2" runat="server" />
                                                                <br />
                                            <br />
                                                3. A copy of the Day Surgery Authorization Form signed by the patient before surgery.<br />
                                            <br />
                                                                <asp:FileUpload ID="fu_h3" runat="server" />
                                                                <br />
                                            <br />
                                                4. A copy of the Referral Letter from a General Practitioner, if any.
                                                <br />
                                            <br />
                                                                <asp:FileUpload ID="fu_h4" runat="server" />
                                                                <br />
                                                <br />
                                                5. Final Summary Bill and detailed final Hospital Bill.&nbsp;<br />
                                            <br />
                                                                <asp:FileUpload ID="fu_h5" runat="server" />
                                                                <br />
                                            <br />
                                            6. Outpatient Bills/Receipts for any Pre-Hospitalisation / Pre-Surgery and
                                                Post-Hospitalisation follow-up bills for expenses incurred. &nbsp;<br />
                                            <br />
                                                                <asp:FileUpload ID="fu_h6" runat="server" />
                                                                <br />
                                          
                                         
                                            <br /><br />
                                                                <asp:Button ID="btn_claim_publicHospital" runat="server" 
                                                    Text="Submit" onclick="btn_claim_publicHospital_Click" />
                                                &nbsp;&nbsp;
    <asp:CustomValidator ID="vd_File" runat="server" 
        ErrorMessage="Please upload required documents." 
        onservervalidate="vd_File_ServerValidate"></asp:CustomValidator>
                                                <br />
                                            
                                            <br /></p>
</asp:Content>

